Skull Base Surgery: Strategies

Unique skull-base surgical resource features strategic, technical, and philosophical pearls from master surgeons In a sense, surgeons go into battle every time they enter the OR. Like soldiers, they must be prepared to make profound sacrifices to protect innocent people (their patients), while putting egos aside and resisting the call of fame. Skull Base Surgery: Strategies by Walter Jean and distinguished contributors provides eloquent expression to the inner voices that speak to surgeons during each stage of battle. Unlike other textbooks that only emphasize the technical building blocks surgeons need, this resource focuses on state-of-the-art skull-base procedures, important thought processes, and vital strategies required to perform them. Size and shape variations, diverse biological characteristics, different anatomic locations and extensions, and specific relationships and entanglements with nerves and vessels make all skull base tumors unique and highly challenging. In addition to anatomy, two other important factors need to be considered every time a surgeon enters the OR – the particular circumstances of the patient and surgeon. Throughout this remarkable book, master neurosurgeons take readers on an insightful journey exploring the decision-making process of choosing and executing a surgical approach, with firsthand pearls from the battlefield. Key Highlights Nine sections organized by anatomy cover tumors in the anterior, anterolateral, lateral, central, postero-superior, and postero-inferior skull base regions, and clivus, petrous bone, and ventricles Thirty-two systematically organized chapters flow from clinical presentation and radiographic/anatomical findings of specific patients and tumors – to decision-making and execution of the surgical approach Real-life cases enhance understanding of all the elements that go into each operation

Table of Contents:
Part I Tumors of the Anterior Skull Base 1 Tuberculum Sella 2 Olfactory Groove 3 Nasopharynx and Pterygopalatine Fossa Part II Tumors of the Anterolateral Skull Base 4 Anterior Clinoid 5 Juxtasellar Cisterns 6 Cavernous Sinus Part III Tumors of the Lateral Skull Base 7 Meckel's Cave 8 Tentorial Incisura 9 Mesial Temporal Lobe Part IV Tumors of the Central Skull Base 10 Dorsum Sella 11 Suprasellar 12 Posterior Clinoid Part V Tumors Around the Clivus 13 Petroclival 14 Spheno-Caverno-Petroclival 15 Petroclival Fissure 16 Foramen Magnum 17 Craniovertebral Junction Part VI Tumors Around the Petrous Bone 18 Petrotentorial Junction 19 Cerebellopontine Angle 20 Jugular Foramen (Intracranial) 21 Jugular Foramen (Intra- and Extracranial) Part VII Tumors of the Posterosuperior Skull Base 22 Falcotentorial 23 Superior Vermis 24 Pineal Part VIII Tumors of the Posteroinferior Skull Base 25 Brainstem (Pontomesencephalic) 26 Brainstem (Pontomedullary) 27 Cerebellomedullary Fissure 28 Torcula Part IX Tumors of the Ventricles 29 Lateral Ventricle (Monro) 30 Lateral Ventricle (Atrium) 31 Third Ventricle 32 Fourth Ventricle Video Contents Video 1.1 Anatomical relationships of a tuberculum sellae meningioma. Video 2.1 Endoscopic endonasal approach to the anterior fossa. Video 4.1 Anatomical relationships of an anterior clinoid meningioma. Video 5.1 Anatomical relationships of a large juxtasella epidermoid cyst. Video 6.1 Anatomical relationships of a cavernous sinus meningioma. Video 6.2 Extended middle fossa approach with anterior clinoidectomy and petrosectomy. Video 7.1 Middle fossa craniotomy with anterior petrosectomy. Video 9.1 Endoscopic supracerebellar transtentorial approach. Video 10.1 Endoscopic endonasal approach to the dorsum sellae and third ventricle. Video 10.2 Transcallosal, transchoroidal approach to the third ventricle. Video 13.1 Combined (anterior and posterior) petrosal approach. Video 13.2 Endoscopic endonasal transclival approach. Video 20.1 Endoscopic-assisted retrosigmoid keyhole approach to the jugular foramen. Video 21.1 Anatomical relationships of a glomus jugulare tumor. Video 21.2 Microsurgical re-anastamosis of the facial nerve. Video 25.1 Contralateral interhemispheric transtentorial approach. Video 26.1 Far lateral approach to the pontomedullary junction. Video 27.1 Subtonsillar approach to the cerebellomedullary fissure. Video 32.1 Telovelar approach to the floor of the fourth ventricle. Video 32.2 Telovelar approach to the fourth ventricle.